HomeMy WebLinkAbout0124633-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1306 MICHIGAN ST
Contractor GARTMAN MECHANICAL SERVICES
CITY OF OSHKOSH No
PLUMBING PERMIT - APPLICATION AND RECORD
Owner EMMANUEL UN CHURCH OF CHRIST Create Date 05/04/2007
Category 441 - Industrial-Water Heaters
Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
COMM / Replace gas water heater. *"DEBIT ACCT**.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0907000000
Issued By
$700.00 Plan Approval
~
$0.00 Permit Fees
$25.00 D Permit Voided I
Valuation
Date 05/04/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 520 W SOUTH PARK AV
OSHKOSH
WI 54902 - 6470 Telephone Number 920-231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
:::A Y - 0 4 - 2 0 0 7 1 0 : 46 ,A M
~ City of Oshkosh
:-: JnSPOc:tiOD ServlG~s Divisicw
rJI POBox 1130
O:ihkosh, WI 54903~1l30
p~: (920) .236-$050
Fixi.(920) 236-5084
P.Ol/0l
. . . , "'3 S l)()
~~:~
OBWMER ~
.",
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Plumbing Permit Application
I ~reby apply for a permit to do and install the following p]l.lmbing on rhe premises he:dn.BIter de1Um'bed, the worlc: to conform to the
Wisconsin Slnte Plumbmg Cocle:, in the prnonnan~e of which all parties he:elo a.gree to and IU'i: bound by 51li~ S1a~.
· Applioation(s) and fee($) can bo hrought to City Hall, :Room 205 or mailed to Inspection Services. PO Box 1128,
Oshkosh WI S4903~ 1128. Commencing work without perm:it(s) will result in fees being doubled Dr $100.00 plus th=
normal permit fee, which cv~ is grea.ccr.
OR
ff::~;;:n:fff:~;Dc;~;f.~r:~~~~~n:D~' ~:c:;;,~~e Am'~1 S.".", "nd hm ad,uua(, funds, ,heck h,,~
Job Add~e!lS \~ ~0k\.J.,~~1'"\ Value (In\:lUditq\IahDr~clmarIl16) 1CO DO Date ~ \ 4 \ tS7
Owner ~~,lJ~~ ~.A tV) Contractor ~~.n
DSingle Famny DDup!ex DMultl-FBmily []Rental fommercial [JIndastrllll
Number ofFixtuns;
Bathtub DIJpOSlll orin!.: I'm Caleh B.lsin
Whlrlpogl [)illhwacber Wait. St WlII:hFll'I
l.IvalOl}' SLImp Pump ICQ CI1\::61 Urinal
TolIDt ajeclcrlOriTld Bl;am Sink Ollr Drain
R.cai. Sink Wullrr Su.Clner SQulry SInk Sodu !:liJ.-p
9JIT Sink tocul WllA'l.Il HlIrld Sink CoIflltl Makl!!'
~ """' -r= ClulhlJll WMhr F Prep Sink Comm_ (III! Mllkl!l1'
. au u Eltlllt 0 PwrVnt Bidet Sl;IV Sink Si Ie Drein
S weT' __ B=rTlIJ' Inl Grwe Troll RoU! Drain
PktPr Drain Cla.!lsrm Sink fro 0rea5C 'I'rup SlBnup fWl
Uutry tra)' S\ll"sClQTI~ Si'l'lk. ~P.Z, Vlllvll E)"Cl WlIXh Sin
z....h Sink Btcmlam 9i"~ Shllmp Sink WtrSl:M:rMt/ll
P~rSink. Dip WQtI PlrlW Sl SI~Jt Deduct Me~
$aerilill:W 1-I~alb~ Wtr U&Ilge Mus
Mi,;.
Plntros
Electric CDhtractor
OR ,OElectrit Installation Verificatioll form attached
(It lUlplacC'lTIr:nt)
Use/NatureofWor~_ vJ1h.^ ~QD-+;.A
Size Ma.terial Type #
..
Sanitary Sewer
Conn. Type
Water Service
'?]IJ.J
l?cyle
U!OS
Stonn Sewer